Mapping Presentation: Consard Limited - First meeting of...
Transcript of Mapping Presentation: Consard Limited - First meeting of...
Mapping Presentation
16/07/2012
Analysis has been undertaken of:
Commitments ◦
By country◦
By organisation type◦
By organisation scope
Partners sought◦
By organisation type◦
By sector
Direct vs. Indirect Commitment Quantification
Quantification of Direct Commitments# patientsValue of commitment in €
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Analysis has been undertaken of: Activity Areas◦
# organisations making direct commitment◦
Timelines for # organisations making direct commitment◦
# organisations making indirect commitment◦
Timelines for # organisations making indirect commitment◦
Additional activities proposed◦
Direct vs. Indirect Activity preferences comparison◦
Potential Grouping of Activities for Action Plan
Themes
Organisations wishing to play active role by country
The Road Ahead… reaching target deliverables
Conclusions from mapping
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Direct = delivering ‘programmes for chronic conditions/case management or integrated care programmes serving older people.’
Organisation Committing Investment committed
Population covered
Patients impacted
€M. M.Municipality of Palaio Faliro, Athens 1 800Coöperatie Slimmer Leven 2020, Netherlands 1Department de Salut - Generalidad de Catalunya, Spain 8 760000Agencia Valenciana de Salud, Spain 12000Department of Health, Social Services and Public Safety, N. Ireland
4 0 23000
Department of Health and Consumer Affairs of the Basque Government
750 2 160000
Region North Denmark 7 1400Europäische Vereinigung für Vitalität und Aktives Altern eVAA e.V., Saxony
3 4
Agenzia sanitaria e sociale regionale, Emilia Romagna 50 5 500000CSI-Piemonte (Consortium for Information Systems) 2University of Valencia. (UVEG) 12000Philips Healthcare 4 15000NHSScotland, co-ordinated by NHS 24 320 6 55000Zealand Denmark 0Institute of Health Carlos III, Spain 10 50000Regional Healthcare Agency of Puglia, Italy 2 300000Région Languedoc Roussillon, France 3 15000
1154 26 1904200
Analysis has been undertaken of: Activity Areas◦
# organisations making direct commitment◦
Timelines for # organisations making direct commitment◦
# organisations making indirect commitment◦
Timelines for # organisations making indirect commitment◦
Additional activities proposed◦
Direct vs. Indirect Activity preferences comparison◦
Potential Grouping of Activities for Action Plan
Themes
Organisations wishing to play active role by country
The Road Ahead… reaching target deliverables
Conclusions from mapping
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Build networks of stakeholders to:
◦
roll out a large number of structured programmes for remote management of chronic diseases in at least 15 Member States,
◦
pilot and establish integrated care models on multi- morbidity chronic cases in a significant number of regions,
◦
move pilots into full deployment, replicating across Member States/regions, with the use of existing EU financial tools such as Structural Funds, FP7, Horizon 2020 and CIP programmes, as well as national/regional and private funding.
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Also known as…
Structured programmeroll-out
Integrated care for patients with multiplemorbidities
Financing Pilot ->Deployment
Build networks of stakeholders to:
◦
roll out a large number of structured programmes for remote management of chronic diseases in at least 15 Member States,
◦
pilot and establish integrated care models on multi- morbidity chronic cases in a significant number of regions,
◦
move pilots into full deployment, replicating across Member States/regions, with the use of existing EU financial tools such as Structural Funds, FP7, Horizon 2020 and CIP programmes, as well as national/regional and private funding.
16/07/2012
Also known as…
Structured programmeroll-out
Integrated care for patients with multiplemorbidities
Financing Pilot ->Deployment
Compile a comprehensive map of stakeholders involved in operational and piloted services on remote management of chronic diseases and/or integrated care (i.e. comprising national/regional authorities, patient and care organisations, industry, service providers, insurance companies, procurers and venture capitalists), and building a stakeholder network.
Identify successful organisational models for integrated care, scalable and reproducible, and supporting their implementation within the community, in regions across the EU. This also involves definition and promotion of new care pathways for patients as they migrate between social and health care providers.
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Also known as…
Stakeholder Engagement
ImplementingIntegrated Care pathways and models
Coach of regions: cooperation between "pioneering regions" with successful operational models and "follower regions".
Provide technical and expertise support in setting up multidisciplinary teams as well as developing comprehensive curricula for the care workforce serving older patients with (multiple) chronic conditions within the setting of integrated care.
Develop training/coaching programmes for end-users (including health professionals, care personnel, informal/family carers and patients) in the use of innovative solutions (i.e. decision, support systems, coaching tools, shared electronic care records, assisted self-management tools) and raising awareness of their availability and benefits. 16/07/2012
Also known as…
RegionalDissemination
Multi-disciplinaryTeam Support
End –userSupport
Map and collect evidence on health and economic outcomes of integrated care models and pilots. (including remote management of chronic conditions, tele-care, etc.) to be accessible in one repository/database.
Set up an evaluation/assessment mechanism- with accepted and validated indicators/measures – to enable assessment and evaluation of performance and analysis of good operational practices, including business models, in integrated care (or its components such as tele-health, tele-care, chronic condition monitoring, etc.) in view of their replication in other regions.
Explore the effectiveness of existing funding models and developing, where appropriate, alternative funding models for integrated care programmes and remote management of chronic diseases, which fit country-specific needs.
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Also known as…
Evidencerepository
Replicable good practice
Funding models
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Total Direct Indirect Additional Activities6 3 3 Research4 2 2 Networking3 1 2 Promotional activity3 3 0 Strategy development4 3 1 Healthcare outcome and
economic evaluation
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Suggested Grouping Original Activities Extra Activities
1.Support forScale-up
End-user support Networking
Stakeholder engagement Promotional activity
Regional dissemination
2. Implementation
Structured programme roll-out
Integrated care for patients with multiple morbidities
Financing Pilot -> Deployment
Implementing integrated care pathways and models
Multi-disciplinary team support
3. Best Practice
Evidence repository Research and development
Replicable good practice Strategy development
Funding models Healthcare outcome and economic
evaluation
Best practice and Advocacy Research and Development
Protocols PilotGuidelines Randomised clinical trialAdvocacy ResearchInformation exchange StudyPathwayRedesign PatientProtocols Expert patientGuidelines Self-managementMonitoring and evaluation Social networks
Technology Conditions / DiseaseTelecare Multi-morbidityTeleconsultation BronchitisTelecoaching FallsWeb-based DementiaDatabase Movement DisorderTelehomecare Loss of orientation/balanceTelemedicine
Electronic health record FundingmHealth EU FundsSocial networks FP7eHealth Structural Funds
Social Funds
Geographical clustering ( > 1 organisation in same area):
Catalunia; Valencia; Andalucia; Madrid;
Athens; Emilia Romagna; South Holland; North Denmark;
Austria 1Belgium 3Denmark 3France 2
Germany 2Greece 2
Italy 7Netherlands 3
Poland 0Portugal 1
Spain 17United
Kingdom4
= 2/3rd
of commitments received
Pop’n 2012 Commitment
2015 2020
Disease Management Programme availability - # Regions
344 c. 25? 50
Est. patients to be covered 50 M. 1.9 M. 5 M.
Scaled up Integrated Care Programmes in Regions 344 9 20
Member States adopting 27 c. 7 15
c.€1B of investment identified in commitments
High interest especially from research / academia and ‘other’ organisations
Majority of commitments are indirect
Strong interest from Spain: newer Member States not represented
All activity areas appear viable: clustering required
This is complex in terms of what we need to deliver: Activities and AG needs leadership
AG needs to focus on achievement of B 3 deliverables (more regions, > population coverage)
This will come from reaching out and engaging more Regions
AG will need a rigorous approach to quantifying contributions to AG deliverables.